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Related Concept Videos

Flow Cytometry01:23

Flow Cytometry

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The development of flow cytometry techniques began in 1934 with initial attempts by Andrew Moldavan, a bacteriologist who counted the cells in a flowing capillary system. Moldavan pumped cells through a capillary tube focused under a microscope for visualization. The invention of photometry allowed the measurement of differentially-stained cells, and Louis Kamentsky developed the first multiparameter flow cytometer in 1965 to identify and count the cancer cells in cervical tissue specimens.
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Flow Cytometric Characterization of Murine B Cell Development
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Abrogating biologics interference in flow cytometric crossmatching.

Brian J Franz1, Rosanne Petraroia1, Cynthia D Faust1

  • 1Histocompatibility Laboratory, McLendon Clinical Laboratories, UNC Hospitals, Chapel Hill, NC, USA.

Human Immunology
|May 3, 2021
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Summary

Anti-idiotype blocking antibodies effectively prevent false positive flow crossmatch results caused by biologic therapies like Rituximab and Alemtuzumab. This validation ensures accurate donor-recipient histocompatibility assessment in transplant evaluations.

Keywords:
AlemtuzumabBiologicFlow cytometric crossmatchNeutralizationRituximab

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Area of Science:

  • Transplantation immunology
  • Clinical diagnostics
  • Immunosuppressive therapy

Background:

  • Flow cytometric crossmatch is the standard for donor-recipient compatibility.
  • Limitations include false positives from non-HLA antibodies and biologics.
  • False positives can lead to organ rejection or unnecessary treatments.

Purpose of the Study:

  • Validate anti-idiotype blocking antibodies to prevent false positive crossmatches.
  • Address interference from biologic therapies like Rituximab and Alemtuzumab.
  • Improve accuracy in histocompatibility testing.

Main Methods:

  • Developed blocking antibodies targeting the Fab portion of Rituximab and Alemtuzumab.
  • Incubated blocking antibodies with patient serum containing biologics before crossmatching.
  • Validated the method using flow cytometry.

Main Results:

  • Successfully negated false positive crossmatch results for Rituximab and Alemtuzumab.
  • Achieved significant reductions in positive signals (e.g., -97% for B cells with Rituximab).
  • Demonstrated efficacy in simultaneous blocking of both biologics.

Conclusions:

  • Anti-idiotype blocking antibodies are effective in preventing biologic-related false positives in flow crossmatches.
  • This method enhances the reliability of histocompatibility testing.
  • Clinical application can prevent inappropriate organ offers or treatments.